2025-07-14T11:27:15+00:00 2024-08-31 440160260 Forvis Mazars LLP 1120 S 101st St Ste 410 Omaha NE 681241088 990 2023-09-01 470738490 PAINTERS LOCAL NO 109 HEALTH & WELFARE PLAN PAIN 4023421101 256 N 115TH STREET SUITE 10 OMAHA NE 68154 MIKE ANDERSEN PRINCIPAL OFFICER 4023421101 2025-07-14 true true Kristin Tynon P01063388 4023921040 2025-07-15 2023 2025-03-06 01:10:19Z MIKE ANDERSEN 256 N 115TH STREET SUITE 10 OMAHA NE 68154 1423797 false X N/A X 1978 NE ADMINISTERS COLLECTIVELY BARGAINGED EMPLOYEE BENEFIT PLAN. 2 2 0 2 0 0 0 1323663 1422842 488 955 0 1324151 1423797 0 1213714 1208056 0 0 0 111826 120405 1325540 1328461 -1389 95336 298776 400286 31301 34534 267475 365752 ADMINISTER EMPLOYEE BENEFIT PLAN; RECEIVE COLLECTIVELY BARGAINED HEALTH AND WELFARE CONTRIBUTIONS FROM EMPLOYERS; AND DISBURSE FUNDS FOR INSURANCE PREMIUMS. THE PLAN HAD 97 ACTIVE PARTICIPANTS AS OF AUGUST 31, 2024. false false 1328461 0 1422842 PROVIDE AND MAINTAIN GROUP LIFE AND GROUP ACCIDENT AND HEALTH INSURANCE, INCLUDING GROUP HOSPITALIZATION, MEDICAL, AND SURGICAL BENEFITS. THE PLAN HAD 97 ACTIVE PARTICIPANTS AT 8/31/24. 1328461 false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false true false false true 0 0 0 false false false false false false X 2 2 false false false false false false false true true false false true false false false false X CELESTE GARDNER 4023421101 256 N 115TH STREET SUITE 10 OMAHA NE 68154 MIKE ANDERSEN CHAIRMAN 0.0 40.0 X X 0 0 0 JEREMIAH FITCH TRUSTEE 0.0 40.0 X 0 0 0 0 0 0 0 false false false UMR INC PO BOX 30541 SALT LAKE CITY UT 84130 TRANSMIT CLAIMS 1619925 OPTUM INC 1 OPTUM CIRCLE EDEN PRAIRIE MN 55344 TRANSMIT CLAIMS 148715 2 0 EMPLOYER CONTRIBUTIONS 900099 1422842 1422842 0 0 0 0 1422842 955 955 0 0 0 0 0 0 0 0 0 1423797 1422842 0 955 1208056 5180 15950 220 9738 3027 3736 CONTRACT ADMINISTRATION 5791 MISCELLANEOUS EXPENSE 75457 BANK CHARGES 109 INTERNET 1197 0 1328461 147824 57948 137620 318171 0 0 157 8051 0 0 0 13175 16116 0 0 0 0 298776 400286 31301 34534 0 0 0 31301 34534 X 267475 365752 267475 365752 298776 400286 95336 2941 0 X true X false true false MIKE ANDERSEN WS BUNCH TRUSTEE / > 35% OWNER 180480 VEBA CONTRIBUTIONS false Form 990, Part VI, Line 11b Review of form 990 by governing body A COPY OF FORM 990 IS PROVIDED TO ALL TRUSTEES AS WELL AS THE ORGANIZATION'S LEGAL COUNSEL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. ANY CHANGES WERE MADE APPROPRIATELY PRIOR TO FILING THE RETURN. Form 990, Part VI, Line 19 Required documents available to the public THESE ITEMS ARE NOT AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section B, Line 1 INDEPENDENT CONTRACTOR COMPENSATION THE PLAN REMITTED FUNDS IN EXCESS OF $100,000 TO UMR, INC. AND OPTUM, INC. FOR THE PURPOSE OF PAYING BENEFIT CLAIMS. THE PLAN ALSO PAID UMR, INC. AND OPTUM, INC. LESS THAN $100,000 EACH FOR THIRD-PARTY ADMINISTRATIVE SERVICES. THE ORGANIZATION HAS CHOSEN TO DISCLOSE THE TOTAL PAID TO EACH OF THESE ENTITIES ON FORM 990, PART VII, SECTION B, LINE 1. OMAHA PAINTERS APPRENTICE TRNG FUND NA OMAHA PAINTERS LOCAL NO 109 PENSION FD NA OMAHA PAINTERS LOCAL NO 109 401(K) PLAN NA OMAHA PAINTERS LOCAL NO 109 UNION NA OMAHA HOUSING AUTHORITY NA OMAHA PAINTERS LOCAL 802 HEALTH NA ARCHITECTURAL WALL SYSTEMS LLC NA COLOR INC NA FORMAN FORD GLASS COMPANY NA WS BUNCH NA RALSTON GLASS NA FD THOMAS INC NA EGAN COMPANY na false false false false false false false false false false false false false true true true true true true